IndividualActive
Amanda Petersen, FNP-BC, RN
NPI 1689163222 · Family Nurse Practitioner · Twin Falls, ID
Provider details
- NPI number
- 1689163222
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC, RN
- Sex
- Female
- Sole proprietor
- No
- License
- 58323 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
775 Pole Line Rd W Ste 113
Twin Falls, ID 83301-5819
Phone: (208) 814-8292
Approximate (ZIP-level) locationGet directions
Mailing address
775 Pole Line Rd W Ste 113
Twin Falls, ID 83301-5819
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.